We inspected Roland Residential Care Home on 26 September 2017.This was an unannounced inspection. At our previous inspection in July 2015 the home was rated as good.

Roland Residential Care Home provides care to a maximum of seven people with mental health needs. On the day of our visit there were six people living in the home.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

The registered manager provided good leadership and people using the service and staff told us the manager promoted high standards of care.

People told us they were very happy with the care and support they received. Staff working at the home demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences.

Staff told us they enjoyed working in the home and spoke positively about the culture and management of the service. Staff described management as supportive. Staff confirmed they were able to raise issues and make suggestions about the way the service was provided.

The service was safe and there were appropriate safeguards in place to help protect the people who lived there. People were able to make choices about the way in which they were supported and staff listened to them and knew their needs well.Staff had the training and support they needed.

Recruitment practices were safe and relevant checks had been completed before staff worked at the home.

People’s medicines were managed appropriately so they received them safely

There were sufficient numbers of suitably qualified, skilled and experienced staff to care for the number of people with complex needs in the home.

The service was meeting the requirements of the Deprivation of Liberty Safeguards(DoLS). Appropriate mental capacity assessments and best interest’s decisions had been undertaken by relevant professionals. This ensured that any decisions were made in accordance with the Mental Capacity Act, DoLS and associated Codes of Practice.

Staff were caring and always ensured they treated people with dignity and respect.

People participated in a range of different social activities and were supported to attend health appointments. They also participated in shopping for the home and their own needs and were supported to maintain a healthy balanced diet. Some people regularly attended activities that were provided at the provider’s other residential homes.

The providers head office regularly completed robust quality assurance checks, to make sure the high standards of care were maintained.

We inspected Roland Residential Care Home 163 Hampden Road on 7 July 2015.This was an unannounced inspection. At our previous inspection on 6 November 2013 we found that the provider was meeting the regulations we inspected

Roland Residential Care Home provides care to seven people with mental health needs. On the day of our visit there were six people living in the home.

The service had a registered manager who had been in post since 2010. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People told us they were very happy with the care and support they received.

People were well supported and encouraged to make choices about what they ate and drank. The care staff we spoke with demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences. They also understood the provider’s safeguarding procedures and could explain how they would protect people if they had any concerns.

Staff told us they enjoyed working in the home and spoke positively about the culture and management of the service. Staff told us that they were encouraged to openly discuss any issues. Staff described management as supportive. Staff confirmed they were able to raise issues and make suggestions about the way the service was provided.

The registered manager provided good leadership and people using the service and staff told us the manager promoted high standards of care.

The service was safe and there were appropriate safeguards in place to help protect the people who lived there. People were able to make choices about the way in which they were cared for and staff listened to them and knew their needs well. Staff had the training and support they needed. Relatives of people living at the home and other professionals were happy with the service. There was evidence that staff and managers at the home had been involved in reviewing and monitoring the quality of the service to drive improvement.

Staffing levels were sufficient to meet people’s needs. Recruitment practices were safe and relevant checks had been completed before staff worked at the home. People’s medicines were managed appropriately so they received them safely

The service was meeting the requirements of the Deprivation of Liberty Safeguards(DoLS). Appropriate mental capacity assessments and best interests decisions had been undertaken by relevant professionals. This ensured that any decisions were made in accordance with the Mental Capacity Act, DoLS and associated Codes of Practice.

People had participated in a range of different social activities and were supported to access the local community. Activities included visits to parks, museums and the seaside. They also participated in shopping for the home and their own needs and some people regularly attended activities that were provided at one of the provider’s, other residential homes

On the day of our visit we spoke with three people who used the service and with two members of staff and the registered manager. People said that they were listened to and that they were able to say what they liked and what they wanted done differently. People were given information about the service and able to make decisions about their care. The home discussed with people their support plans and made plans with people to support them to receive the right kind of help in the least restrictive way.

People enjoyed the food and there was sufficient healthy nutritious choices which met the needs of people who were on special diets.

The home was clean and staff knew how to maintain hygiene standards and encouraged people to maintain their personal areas. There were sufficient numbers of staff to care for people in a safe way. The home held up to date personal records on people, and staff and were accountable for maintaining financial records, so that people were protected.

We saw and were told by people and staff that people gave their consent verbally and some people gave consent in writing. Some people's consent was obtained with the involvement of relatives and social workers if required.

We saw that people’s needs were assessed and care and treatment was planned and delivered in line with their individual care plan and to ensure people’s safety and welfare. Some relatives told us that they were involved in the planning and review of people's care plans with the person and staff. One relative told us the person was "very happy and I feel listened to and able to participate in their care."

People who use the service were protected against the risk of unlawful or excessive control or restraint because the provider had made suitable arrangements. Staff were aware of safeguarding policies and procedures and knew to report any allegations of abuse to the manager and the local authority safeguarding team.

Appropriate checks were undertaken before staff began work and effective recruitment, selection and employment processes were in place.

The provider had a system in place for identifying, receiving, handling and responding to complaints and comments made by people using the service and those acting on their behalf.

People using the service told us about the opportunities to make choices and confirmed that they were treated with respect and their dignity and privacy was respected. Everybody confirmed that staff knocked on their bedroom doors and asked to come in. A number of people said that they chose when they went to bed. People had a key to their bedrooms and a number of people were observed to use it to lock their bedroom doors.

We observed that interactions between members of staff and people using the service were positive and that staff conducted themselves in a positive, respectful and supportive manner.

We asked people who use services if they felt safe in the home and everybody spoken with said they did. A person said, ‘’I feel safe’’.

People said staff could meet their needs and they listened to how they wanted things done. People said staff were ''kind, polite and helpful’’. People said that there were enough staff working at the home to receive attention when they needed it.